Parry Carla, Min Sung-Joon, Chugh Amita, Chalmers Sandra, Coleman Eric A
University of Colorado-Denver, Aurora, Colorado 80045, USA.
Home Health Care Serv Q. 2009;28(2-3):84-99. doi: 10.1080/01621420903155924.
The study objective was to test whether a self-care model for transitional care that has been demonstrated to improve outcomes in Medicare Advantage populations--The Care Transitions Intervention--could also improve outcomes in a Medicare fee-for-service population. Intervention patients were less likely to be readmitted to a hospital in general and for the same condition that prompted their index hospitalization at 30, 90, and 180 days versus control patients. Coaching chronically ill older patients and their caregivers to ensure that their needs are met during care transitions may reduce the rate of subsequent rehospitalization in a Medicare fee-for-service population.
该研究的目的是测试一种已被证明能改善医疗保险优势人群治疗效果的过渡性护理自我护理模式——护理过渡干预，是否也能改善医疗保险按服务收费人群的治疗效果。与对照组患者相比，干预组患者在30天、90天和180天时，总体上再次住院的可能性较小，且因导致其首次住院的相同病情再次住院的可能性也较小。指导慢性病老年患者及其护理人员，以确保他们在护理过渡期间的需求得到满足，这可能会降低医疗保险按服务收费人群后续再次住院的比率。
